Behavioral specialist Jobs in Concord, CA

Behavioral Health Medical Director Manager

This position invites you to join a dynamic team that emphasizes both in-office collaboration and the flexibility of remote work, allowing associates to thrive in a balanced environment. Ideal candidates will reside in California, as the position requires in-office engagement three days a week.

The Behavioral Health Medical Director Manager leads the administration of medical services for both Medicaid and Commercial accounts, ensuring the delivery of high-quality and cost-effective medical care while managing the medical management staff.

Key Responsibilities:

• Interpret existing policies and develop new ones in response to changes in the healthcare landscape.

• Lead and implement clinical and non-clinical initiatives that affect healthcare quality, costs, and outcomes.

• Identify and cultivate innovation opportunities to enhance effectiveness and quality.

• Act as a resource and consultant to various departments; may chair committees and represent the company at external meetings.

• Guide the medical management team to ensure timely and consistent feedback for members and providers.

• Oversee hiring, training, coaching, and performance evaluation of direct reports.

Minimum Qualifications:

• MD/DO with Board certification from an approved certifying board required.

• Active, unrestricted medical license to practice medicine in California is mandatory.

• Must be located within a U.S. state or territory while conducting utilization reviews or appeals.

• At least 10 years of clinical experience or an equivalent combination of education and experience.

Preferred Qualifications:

• Previous management experience is desirable.

• Experience in managed care is highly regarded.

• Capability to obtain a California medical license.

• Experience or certification in addiction or child and adolescent psychiatry is a plus.

Please note, for positions based in California, the salary range for this role is $325,680.00 to $509,760.00, commensurate with experience, education, and other considerations.

About Elevance Health:

Elevance Health is dedicated to enhancing lives and communities while simplifying healthcare. As a Fortune 25 company, we seek leaders who are passionate about making an impactful difference for our members.

Working at Elevance Health:

We are committed to building a culture that nurtures both personal and professional growth. Our values and behaviors are integral to our success.

Elevance Health offers robust benefits including merit increases, paid time off, and a comprehensive benefits package. In accordance with our hybrid workforce strategy, associates are expected to work onsite at least once weekly.

Health and Safety Requirement:

To prioritize community health, all new hires in patient-facing roles must receive COVID-19 and Influenza vaccinations. Exceptions may apply based on acceptable reasons.

EEO Statement:

Elevance Health is an Equal Employment Opportunity employer committed to diversity and inclusion in the workplace. We consider qualified applicants without regard to various protected characteristics.